Is your loved one at Golden Haven Care Center?
If they fell, developed a bed sore, lost weight, were hurt or abused at Golden Haven Care Center, leave your name and phone. We call back today, request the chart and the full inspection file, and tell you plainly whether there is a case. Free, confidential, English or Spanish.
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Golden Haven Care Center at a glance: owner, beds and ratings
* California separately requires at least 3.5 direct care service hours per patient day, counted under state rules, so the two numbers are not measured the same way.
Records: Cal Health Find ↗ · Medicare Care Compare ↗
Golden Haven Care Center citations and inspection findings
Newest first. State citations come from CDPH; federal deficiencies come from the CMS-2567 inspection report CDPH writes for Medicare. Every row links to the government record.
| Date | Source | Finding | Record |
|---|---|---|---|
| October 16, 2025 | State (CDPH) | Administrative Penalty (DHPPD: 12 – 24 Days), penalty $50,000 | Government record (CDPH) ↗ |
| July 2, 2025 | State (CDPH) | Administrative Penalty (DHPPD: 2 – 11 Days), penalty $25,000 | Government record (CDPH) ↗ |
| January 3, 2025 | State (CDPH) | Class AA citation (Patient Care), penalty $120,000 Read what inspectors found ↓ | Government record (CDPH) ↗ |
| December 3, 2024 | Federal (CMS-2567), Certification | F695 – Respiratory/Tracheostomy Care and Suctioning, severity J (immediate jeopardy, one or a few residents) Read what inspectors found ↓ | Government record (CDPH) ↗ |
| September 20, 2024 | State (CDPH) | Class AA citation (Patient Care), penalty $120,000, appealed by the facility Read what inspectors found ↓ | Government record (CDPH) ↗ |
| September 4, 2024 | State (CDPH) | Class B citation (Physical Environment), penalty $500 | Government record (CDPH) ↗ |
| August 8, 2024 | Federal (CMS-2567), Complaint | F684 – Quality of Care, severity J (immediate jeopardy, one or a few residents) F635 – Admission Physician Orders for Immediate Care, severity J (immediate jeopardy, one or a few residents) Read what inspectors found ↓ | Government record (CDPH) ↗ |
| July 10, 2024 | State (CDPH) | Class B citation (Other), penalty $3,400 | Government record (CDPH) ↗ |
| May 17, 2024 | Federal (CMS-2567), Complaint | F689 – Free of Accident Hazards/Supervision/Devices, severity G (actual harm, one or a few residents) Falls / supervision › Read what inspectors found ↓ | Government record (CDPH) ↗ |
| October 27, 2023 | State (CDPH) | Class A citation (Patient Rights), penalty $20,000 Sexual abuse allegation › Read what inspectors found ↓ | Government record (CDPH) ↗ |
| October 11, 2023 | State (CDPH) | Class AA citation (Patient Care), penalty $120,000 Read what inspectors found ↓ | Government record (CDPH) ↗ |
| September 7, 2023 | Federal (CMS-2567), Complaint | F607 – Develop/Implement Abuse/Neglect Policies, severity J (immediate jeopardy, one or a few residents) F600 – Free from Abuse and Neglect, severity J (immediate jeopardy, one or a few residents) AbuseSexual abuse allegation › Read what inspectors found ↓ | Government record (CDPH) ↗ |
Show 1 older findings
| Date | Source | Finding | Record |
|---|---|---|---|
| August 22, 2023 | Federal (CMS-2567), Complaint | F580 – Notify of Changes (Injury/Decline/Room, etc.), severity J (immediate jeopardy, one or a few residents) F695 – Respiratory/Tracheostomy Care and Suctioning, severity J (immediate jeopardy, one or a few residents) Read what inspectors found ↓ | Government record (CDPH) ↗ |
What inspectors found at Golden Haven Care Center
Tap a finding to read the summary. Each one is written from the government report linked under it.
December 2024: Class AA citation and F695 (severity J) after a resident's breathing emergency was not reported to a physician
According to the citation, CDPH reviewed the care and death of Patient 1 during a recertification survey that began on December 3, 2024. Patient 1 was a 77-year-old man with chronic obstructive pulmonary disease (COPD, a lung disease that makes it hard to breathe). His physician had ordered staff to adjust his oxygen to keep his blood oxygen at 92% or higher and to notify the physician if it dropped below that.
Inspectors found that shortly after midnight on November 15, 2024, Patient 1 said he could not breathe. His breathing was labored and his oxygen level was 72%. Licensed Vocational Nurse (LVN) 6 gave a breathing treatment and offered a hospital transfer, which the patient declined. LVN 6 told inspectors the oxygen level rose only to 75-78%, that he did not recheck it, and that he did not notify the physician or call 911. At about 1:55 AM a nursing assistant found Patient 1 unresponsive with no pulse. Staff started CPR and called 911, and paramedics pronounced him dead at 2:29 AM. The physician was notified by text at 3:16 AM, the citation states.
CDPH issued a Class AA citation with a $120,000 penalty and determined the violations were a substantial factor in the death of Patient 1. The federal 2567 report cited F695 (respiratory care) at severity J and states inspectors identified an immediate jeopardy situation. According to the 2567 report, it was removed on December 7, 2024, after the facility audited residents with COPD or on oxygen, suspended the night nurse pending investigation, and began training nursing staff on reporting breathing changes.
September 2024: Class AA citation, F684 and F635 (severity J) after a diabetic resident went 61 days without blood sugar checks or insulin
According to the citation, CDPH made an unannounced visit on August 8, 2024, to investigate a complaint. Patient 1 was admitted on February 8, 2024, with diabetes mellitus (a disease in which the body cannot control blood sugar). CDPH found that for 61 days the facility did not monitor the patient's blood sugar and did not give insulin.
Inspectors found that licensed staff did not review hospital discharge orders showing the patient had received insulin in the hospital and needed diabetes care, and did not ask the physician for orders for medication and blood sugar monitoring. The 2567 report states that nurses did not monitor for signs of high or low blood sugar as the care plan required. On April 9, 2024, the resident had altered consciousness, an oxygen level of 77% and a blood sugar of 500. The resident was sent to a hospital, where blood sugar measured 810, and died on April 11, 2024, of diabetic ketoacidosis (a severe complication caused by a lack of insulin).
CDPH issued a Class AA citation with a $120,000 penalty and determined the violations were a substantial factor in the death of Patient 1. The citation is listed as appealed. The federal 2567 report cited F684 (quality of care) and F635 (admission physician orders for immediate care), both at severity J, and states inspectors identified an immediate jeopardy situation. According to the 2567 report, it was removed on August 10, 2024, after the facility trained licensed nurses on diabetes care, reviewed all residents with diabetes, and assigned admission medication orders to a registered nurse or the director of nursing.
May 2024: F689 (severity G) after repeated falls by a resident at high risk for falls and seizures
According to the federal 2567 report from a complaint survey, Resident 1 was admitted on March 2, 2024, with a history of seizures (sudden bursts of electrical activity in the brain), Parkinson's disease and a prior head injury. A fall risk assessment rated him at high risk for falls, and he needed moderate help from staff to transfer between bed and chair. Inspectors found the facility did not develop a care plan or place him on seizure precautions at admission, such as seizure pads and floor mats called for in its own policies, and did not raise both side rails as the physician had ordered.
The report states Resident 1 had an unwitnessed fall on March 7, 2024, and was found on the floor of the activity room with a cut on his left eyebrow. He fell again without a witness on March 18, 2024, and had a small skin tear on his little finger. Inspectors found that after these falls the facility did not hold an interdisciplinary falls committee meeting within 72 hours or update his care plan, as its fall management policy required. On May 2, 2024, a nursing assistant found him on the floor bleeding from the head, with seizure activity and foaming at the mouth.
According to the 2567 report, Resident 1 was taken by 911 to an acute care hospital for evaluation of a head injury, where a 5-centimeter cut on the back of his scalp was closed with skin staples. Inspectors cited F689 (free of accident hazards, supervision and devices) at severity G.
October 2023: Class A citation, F600 and F607 (severity J) after a resident's sexual abuse report about a laundry worker
According to the citation, CDPH made an unannounced visit on September 7, 2023, to investigate a facility-reported incident of sexual abuse. Patient 1 was a 70-year-old woman who was alert, oriented and able to make her needs known. CDPH found that on August 30, August 31 and September 1, 2023, a male laundry staff member entered her room, grabbed her hand and rubbed it against his groin over his clothing. She told inspectors she pulled her hand away on the third occasion and told him not to do it again. She said she felt disgusted and violated.
Inspectors found that the patient and a family member reported the abuse to a licensed vocational nurse (LVN 1) on September 2, 2023. The director of nursing told inspectors she learned of it on September 3 but did not tell the administrator, did not suspend the worker, did not report it to the state, police, ombudsman or Adult Protective Services, and, because the patient had dementia, did not investigate. According to the citation, the worker kept working and had contact with the patient until September 5, 2023, when the administrator was notified.
CDPH issued a Class A citation with a $20,000 penalty. The federal 2567 report cited F600 (free from abuse and neglect) and F607 (abuse and neglect policies), both at severity J, and states CDPH identified an immediate jeopardy situation. According to the 2567 report, it was removed on September 13, 2023, after the facility suspended the worker, reported the allegation to CDPH, police and the ombudsman, and trained staff on abuse prevention and timely reporting.
October 2023: Class AA citation, F580 and F695 (severity J) after a resident with COVID-19 and breathing problems was not reported to a physician
According to the citation, CDPH made an unannounced complaint visit on August 22, 2023, to investigate allegations about a patient's death. Patient 1 was an 84-year-old man with vascular dementia and chronic obstructive pulmonary disease (COPD, a lung disease that makes breathing hard). He tested positive for COVID-19 on August 16, 2023. His physician's orders form (POLST) called for transfer to a hospital as part of selective treatment.
CDPH determined that on August 17 and 18, 2023, the patient developed a cough, congestion, difficulty breathing and shallow breathing, and staff did not promptly notify his physician or family. Inspectors found staff placed him on a nonrebreather mask (a device that delivers high-concentration oxygen) and raised oxygen up to 8 liters per minute without a physician's order, and did not notify the physician when his heartbeat was faint. The citation states staff did not consistently check his vital signs and oxygen levels every four hours as ordered, and did not transfer him to a hospital as his POLST indicated. He died at the facility on the night of August 18, 2023.
CDPH issued a Class AA citation with a $120,000 penalty and stated the violations were a substantial factor in the patient's death. The federal 2567 report cited F580 (notification of changes) and F695 (respiratory care), both at severity J, and states an immediate jeopardy situation was identified. According to the 2567 report, it was removed on August 25, 2023, after the facility reassessed 56 residents who had tested positive for COVID-19 and trained licensed nurses on notifying physicians about changes in condition.
Complaints against Golden Haven Care Center
| Year | Intakes | Complaints | Facility-reported incidents | Substantiated (at least one allegation) |
|---|---|---|---|---|
| 2023 | 16 | 7 | 9 | 12 |
| 2024 | 23 | 19 | 4 | 10 |
| 2025 | 21 | 17 | 4 | 6 |
| 2026 | 14 | 9 | 5 | 1 |
Cal Health Find lists 74 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 29 of them. 17 intakes involved an allegation in CDPH’s abuse category, and 3 of those had an abuse allegation substantiated. An intake can contain several allegations; “unsubstantiated” means CDPH did not find enough evidence, not that nothing happened.
Sexual abuse reports at Golden Haven Care Center
Cal Health Find lists 7 intakes for Golden Haven Care Center from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse (5 from complaints and 2 reported by the facility itself). CDPH substantiated a sexual abuse allegation in 1 of them. Federal rules require a nursing home to report an abuse allegation to the state within two hours, so a facility-reported incident means staff raised the allegation, not that it was proven. “Unsubstantiated” means CDPH did not find enough evidence; it does not mean nothing happened.
| Year | Intakes with a sexual abuse allegation | Substantiated |
|---|---|---|
| 2023 | 1 | 1 |
| 2025 | 2 | 0 |
| 2026 | 4 | 0 |
Cited findings on this page whose government reports describe a sexual abuse allegation: October 2023: Class A citation, F600 and F607 (severity J) after a resident's sexual abuse report about a laundry worker
Warning signs include bruising or bleeding in the genital area or inner thighs, a new genital infection, torn or stained underclothing, and a resident who suddenly fears a particular staff member or resists being bathed or changed. If you suspect sexual abuse, call 911 or local police first, ask that the resident not be bathed before a medical exam, and then report it to CDPH and the long-term care ombudsman. Sexual abuse reports at Los Angeles County nursing homes →
Staffing at Golden Haven Care Center
Payroll records Golden Haven Care Center filed with the federal Centers for Medicare & Medicaid Services (CMS) for April through June 2026 show an average of 3.98 nursing hours per resident per day, counting registered nurses (RNs), licensed vocational nurses and nurse aides. The California average CMS published for the same period is 4.54, and the Los Angeles County median is 4.32. RN time averaged 0.49 hours per resident per day (California average 0.68). Staffing averaged 3.77 hours on weekends and 4.07 on weekdays.
CMS reports nursing staff turnover of 46.4% at this facility (California average 36.6%) and RN turnover of 33.3% (California average 37.8%).
California requires most skilled nursing facilities to provide at least 3.5 direct care hours per patient day (Health and Safety Code section 1276.65). Counting the RN, LVN and nurse aide hours in the same payroll data, Golden Haven Care Center was below 3.5 on 8 of 91 days. This is our calculation from CMS data, not a CDPH finding: CDPH counts some staff differently (for example psychiatric technicians in special treatment programs) and can grant waivers.
| Golden Haven Care Center | LA County median | California average | |
|---|---|---|---|
| Total nursing hours per resident per day | 3.98 | 4.32 | 4.54 |
| RN hours per resident per day | 0.49 | 0.46 | 0.68 |
| Weekend nursing hours per resident per day | 3.77 | 3.89 | 4.10 |
| Nursing staff turnover | 46.4% | 34.1% | 36.6% |
Compare staffing, profits and fines across Los Angeles County nursing homes →
Who owns Golden Haven Care Center
The owners and operators below are listed for Golden Haven Care Center in the federal CMS nursing home ownership file (data as of October 1, 2026). CMS requires each Medicare-certified nursing home to report anyone with a 5% or greater ownership stake and anyone with operational or managerial control.
| Owner or operator | Role | Share | Since |
|---|---|---|---|
| Golden State Health Centers, Inc. | 5% or greater direct ownership | 65% | March 2, 2023 |
| The Chani Levitin Gst Non-Exempt Trust | 5% or greater direct ownership | 9% | March 2, 2023 |
| Martin Weiss | 5% or greater indirect ownership | 13% | March 2, 2023 |
| Isela Cabral | Operational or managerial control | – | May 27, 2024 |
| Samvel Hmayakyan | Operational or managerial control | – | July 7, 2023 |
| Henry Levine | Operational or managerial control | – | June 7, 2023 |
In its annual report to the California Department of Health Care Access and Information (HCAI) for the year ending December 31, 2025, the facility listed $1.5 million in payments to related companies (businesses that share owners or management with the facility): $819,570 to Golden State Health Centers, Inc for support fee; $661,683 to Glenoaks Conv. Hospital for rent. Payments to related companies are legal; California requires nursing homes to disclose them.
Golden Haven Care Center finances
Golden Haven Care Center reported $13.8 million in health care revenue and a net loss of $534,118 for the year ending December 31, 2025, a margin of -3.9%, in its annual financial report to HCAI (as submitted; HCAI has not finished reviewing it). The median operating margin that year was 5.9% for Los Angeles County nursing homes and 6.1% statewide. Medi-Cal paid for 72% of resident days. Salaries for RNs, LVNs and nurse aides came to $3.1 million.
| Year | Revenue | Net income | Margin | Occupancy | Medi-Cal days |
|---|---|---|---|---|---|
| 2023 | $6.5 million | -$377,936 | -5.9% | 87% | – |
| 2024* | $8.3 million | -$2.2 million | -27.0% | 80% | 71% |
| 2025 | $13.8 million | -$534,118 | -3.9% | 86% | 72% |
* More than one report was filed that year, usually after a change of ownership; the table shows the longest reporting period.
Federal fines and penalties: Golden Haven Care Center
CMS lists 2 federal fines totaling $49,021 and 1 Medicare payment denial for Golden Haven Care Center in the roughly three years its penalty file covers.
| Date | Penalty | Amount or length |
|---|---|---|
| December 7, 2024 | Fine | $32,221 |
| July 23, 2024 | Fine | $16,800 |
| April 23, 2024 | Payment denial | 4 days |
Golden Haven Care Center lawsuits and criminal cases
We searched California Attorney General and Los Angeles County District Attorney announcements and news coverage for Golden Haven Care Center and its licensee and found no public criminal case or civil lawsuit we could tie to this facility as of October 30, 2026. Many civil cases settle quietly or are not covered by the press, so this is not a complete court search.
What this record means for your family
California uses classes for state citations. Under Health and Safety Code section 1424 ↗, a Class AA citation is a Class A violation that CDPH determined was a direct proximate cause of a resident’s death. A Class A citation means CDPH found an imminent danger, or a substantial probability, that death or serious physical harm would result. Class B covers violations with a direct or immediate relationship to residents’ health, safety or security.
Federal deficiencies carry a letter from A to L. G, H and I mean inspectors found actual harm to residents; J, K and L mean immediate jeopardy, the most serious level. F600 is the federal rule that residents be free from abuse and neglect; F609 and F610 cover reporting and investigating allegations; F689 covers accidents and supervision; F686 covers pressure injuries.
Warning signs worth asking about: unexplained bruises or fractures, new bed sores, sudden weight loss or dehydration, a resident who becomes fearful or withdrawn around certain staff, and calls that go unanswered.
What to do now
- If someone is in danger, call 911.
- File a complaint with CDPH about Golden Haven Care Center: CDPH complaint form ↗
- Contact the long-term care ombudsman, the state-funded advocate for nursing home residents: California Long-Term Care Ombudsman ↗
- Ask the facility in writing for a copy of the resident’s chart, and write down dates, names of staff on shift, and photos of any injury.
- Talk to a Los Angeles nursing home abuse lawyer →
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Questions families ask
Has Golden Haven Care Center been cited by the State of California?
Cal Health Find lists 12 state citations for Golden Haven Care Center since 2023, including 3 Class AA and 1 Class A. Each one is listed in the timeline above with a link to the CDPH record.
How many complaints have been filed against Golden Haven Care Center?
From 2023 through October 30, 2026, Cal Health Find lists 74 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 29 of them.
Does Medicare flag Golden Haven Care Center for abuse?
As of our data date, Medicare Care Compare does not show its abuse icon for Golden Haven Care Center. The icon is only one signal; read the citations above.
Have there been sexual abuse reports at Golden Haven Care Center?
Cal Health Find lists 7 complaint or facility-reported incident intakes at Golden Haven Care Center since 2023 that included an allegation CDPH classified as sexual abuse, and CDPH substantiated 1. The section above breaks them down by year.
Where can I read reviews and complaints about Golden Haven Care Center?
Online reviews are opinions. The official record is the state and federal inspection file: this page summarizes it and links each citation, complaint outcome and inspection report on Cal Health Find and Medicare Care Compare, so you can read the source yourself.
How many beds does Golden Haven Care Center have?
Golden Haven Care Center is licensed by CDPH for 99 beds and has a CMS overall rating of 1 out of 5 stars.
Who owns or operates Golden Haven Care Center?
CDPH lists the licensee as GOLDEN HAVEN CARE CENTER, LLC. CMS does not list a chain for this facility. According to the CMS ownership file, Golden State Health Centers, Inc. holds 65% as a direct owner. The full list of owners and operators CMS reports is in the ownership section of this page.
How many nursing hours does Golden Haven Care Center provide per resident?
Payroll data the facility filed with CMS for April through June 2026 show 3.98 total nursing hours per resident per day, including 0.49 RN hours. The California average is 4.54.
My parent was hurt at Golden Haven Care Center. What should I do?
Get medical care first, then report it to CDPH and the long-term care ombudsman, ask for the chart in writing and keep notes and photos. For a free, confidential review of a possible case, call Beverly Law at (310) 552-6959.
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Other nursing homes near Golden Haven Care Center
| Facility | City | Distance | CMS stars | Class AA/A | Federal G–L |
|---|---|---|---|---|---|
| Broadway Manor Care Center | Glendale | 1.0 mi | 2/5 | 2 | 2 |
| Royal Palms Post Acute | Glendale | 1.0 mi | 1/5 | 3 | 2 |
| Autumn Hills Health Care Center | Glendale | 1.2 mi | 3/5 | 0 | 2 |
| Dreier's Nursing Care Center | Glendale | 1.4 mi | 2/5 | 3 | 3 |
| Chestnut Ridge Post Acute LLC | Glendale | 1.5 mi | 1/5 | 2 | 4 |
| Glendale Post Acute Center | Glendale | 1.7 mi | 1/5 | 2 | 4 |
Methodology and sources
We pulled this facility’s complaints, state enforcement actions and survey deficiencies from Cal Health Find for 2023 through October 30, 2026, downloaded the CDPH citation notices and CMS-2567 reports behind every Class AA or A citation and every federal deficiency at level G or higher, and wrote the summaries above from those documents. Facility details come from the CDPH licensing file and the CMS Provider Data Catalog. Residents are described only as the government documents describe them. See the methodology page to report an error; we review correction requests within five business days.
Sources
- Cal Health Find – Golden Haven Care Center
- Medicare Care Compare – Golden Haven Care Center
- CMS – Payroll-Based Journal Daily Nurse Staffing (2026 Q2)
- CMS – Nursing home Provider Information (staffing, turnover)
- CMS – Nursing home Ownership
- CMS – Nursing home Penalties
- HCAI – Long-Term Care Facility Financial Data
- CDPH – State Enforcement Actions (open data)
- CMS Provider Data Catalog – Nursing homes
Important: This page reports findings from public records of the California Department of Public Health and the Centers for Medicare & Medicaid Services. A citation or deficiency is a regulatory finding by a government agency; it is not a court judgment and not proof of civil or criminal liability. Criminal defendants are presumed innocent unless proven guilty. Lawsuit allegations are claims, not findings. This page is general information, not legal advice, and reading it does not create an attorney-client relationship with Beverly Law. Attorney advertising. Prior results do not guarantee a similar outcome. Data as of: October 30, 2026. Methodology and corrections.
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